Individual provider · NPI-1

Pedro A Alicea, R.Ph.

Pharmacist · San Juan, PR

NPI number1851684575
StatusActive
Last updated in NPPESMay 27, 2011

Details

NPI
1851684575
Entity type
Individual (NPI-1)
Name
Pedro A Alicea
Credential
R.Ph.
Sex
Male
Sole proprietor
No
Enumeration date
May 27, 2011
Last updated
May 27, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist3978PRYes

Practice location

Walgreens 00363 #1115 65th Infantry Ave.
San Juan, PR 00924

Phone 787-768-4700 · Fax 787-768-5676

Mailing address

Walgreens 00363 #1115 65th Infantry Ave.
San Juan, PR 00924

Phone 787-768-4700 · Fax 787-768-5676

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